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© 1977 British Society for Rheumatology

other

DYSPHAGIA DUE TO VERTICAL SUBLUXATION OF THE AXIS IN RHEUMATOID ARTHRITIS

P. J. GOW and T. GIBSON

Guy's Arthritis Research Unit, Guy's Hospital Medical School London SE1 9RT

Two patients with rheumatoid arthritis developed swallowing difficulties. These were mild in one case but severe in the other. Associated pyramidal tract signs and striking upward transloca-tion of the dens made it seem probable that dysphagia was attributable to medullary compression despite the absence of other bulbar features. A history of dysphagia may therefore have serious implications for patients with rheumatoid disease.


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